Public Health

Public health refers to social, cultural, economic, and geographic conditions that affect a population's well-being. To assist local, national, and international health agencies and organizations, RAND conducts research on public health issues including disaster preparedness and recovery; surveillance, prevention, and management of infectious disease outbreaks; screening for and prevention of chronic diseases; and ways to strengthen the public health infrastructure.

Research conducted by: RAND Health

All Items (774)

Commentary

Applying What Works to Reduce Non-Urgent Emergency Department Use — May 22, 2013

emergency sign

It is likely that communities with low rates of non-urgent ED use not only have better access to primary care, but patients who are educated about appropriate care seeking and convenient alternatives for acute care, writes Lori Uscher-Pines.

Commentary

From Boston to Oklahoma—Lessons for the Regional Trauma Response System — May 21, 2013

ok-moore-tornado-damage

Three mass-casualty events occurring in three very different settings show that disaster preparedness should not be limited to large cities or “target” areas in the United States. One trait that is common to all such events is the need for coordinated, responsive trauma care for victims.

Report

Hospital Emergency Departments Play a Growing Role in the U.S. Health Care System — May 20, 2013

patients in a waiting room

Emergency departments account for a rising proportion of hospital admissions and serve increasingly as an advanced diagnostic center for primary care physicians. While often targeted as the most expensive place to get medical care, emergency rooms remain an important safety net for Americans who cannot get care elsewhere.

News Release

Hospital Emergency Department Use, Importance Rises in U.S. Health Care System — May 20, 2013

Hospital emergency departments play a growing role in the U.S. health care system, accounting for a rising proportion of hospital admissions and serving increasingly as an advanced diagnostic center for primary care physicians.

Research Brief

The Evolving Roles of Emergency Departments — May 20, 2013

This brief summarizes a RAND analysis of the role of that hospital emergency departments may come to play in either contributing to or reducing the rising costs of health care.

Commentary

H7N9 Bird Flu — Health Authorities Are Prepared, but Must Stay on High Alert — May 10, 2013

Lab specialist working on avian influenza

Having dealt with outbreaks of H5N1 bird flu and other communicable diseases like Severe Acute Respiratory Syndrome (SARS) in 2003 and H1N1 swine flu in 2009, health officials are now far better prepared to detect new diseases early and react quickly to monitor and contain their spread.

Report

Evaluation of the Council to Improve Foodborne Outbreak Response (CIFOR) Guidelines for Foodborne Disease Outbreak Response and Associated Toolkit — May 7, 2013

Assesses to what extent the Council to Improve Foodborne Outbreak Response's Guidelines and associated Toolkit are reaching their intended users and achieving their intended goals.

Commentary

The Economic Promise of Malaria Reduction — Apr 24, 2013

U.S. Army medical researchers take part in World Malaria Day 2010, Kisumu, Kenya April 25, 2010

Better understanding of how malaria reduction affects different households, regions, and economic sectors in Sub-Saharan Africa could allow policymakers to assess alternative intervention strategies and allocate resources more efficiently and effectively.

Commentary

Why U.S. Was Surprised, but Prepared for Boston Attack — Apr 18, 2013

Boston Marathon bombing - first responders

Although official after-action reports are still being compiled, it looks like Boston's first responders and hospitals delivered under difficult circumstances, writes Arthur Kellermann.

Journal Article

The Carrot and the Stick: A Cross-Sectional Study of the Influences on Responsible Merchant Practices to Reduce Underage Drinking — Apr 2, 2013

Merchants who hold more pro-enforcement attitudes engage in more responsible beverage service training practices, which in turn is associated with greater enforcement of underage drinking. These attitudes are potential targets of prevention efforts.

Journal Article

Hervormingenvan Brandweer - En Reddingsdiensten in Europa: (Lighting the Touch Paper of Reform? Case Studies in Fire and Rescue Service Reform in Europe) — Apr 1, 2013

In the age of austerity, Fire and Rescue Services (FRS) provision is now the focus of policymakers' efficiency drives.

Commentary

Guns in Homes: A Health Hazard — Mar 25, 2013

gun in dresser drawer

An ample body of evidence indicates that the benefits of keeping a gun for protection are substantially outweighed by the associated risks, writes Art Kellermann.

Blog

When CPR Is the Wrong Call: Mistaking Medical Treatment for Care — Mar 14, 2013

CPR valve mask

If a medical treatment worked only a fraction of the time and resulted in bad outcomes more often than not, practitioners would not make this treatment the default approach. Yet that is exactly what has happened when it comes to CPR for individuals 85 years and older who suffer cardiac arrest in a community setting.

Commentary

Tuberculosis Outbreak in LA Reminds Us of Importance of 'Bread and Butter' Public Health Capabilities — Mar 12, 2013

Center for Domestic Preparedness Training

In this fiscally uncertain climate, we should continue to leverage the dual-use benefit of bioterrorism investments by building and maintaining those routine (but essential) public health capabilities that can also be used in response to a variety of public health emergencies.

Journal Article

Neighborhood Food Outlets, Diet, and Obesity Among California Adults, 2007 and 2009 — Mar 1, 2013

The presence of food outlets near home is not associated with dietary intake or BMI. In general, shopping patterns are weakly related, if at all, to neighborhoods, perhaps because of easy access to cars.

Journal Article

The Challenges and Rewards of Engaging a Skeptical Public — Mar 1, 2013

The aim of this commentary is to discuss both the challenges and the rewards of engaging a public that wants to weigh evidence prior to taking action in an emergency, rather than defer to expert judgment.

Journal Article

Are Our Actions Aligned with Our Evidence? The Skinny on Changing the Landscape of Obesity — Mar 1, 2013

Recent debate about the role of food deserts in the United States has prompted discussion on policies being enacted, including efforts that encourage the placement of full-service supermarkets into food deserts.

Commentary

The Environmental Costs of Emissions from Shale Gas Extraction — Feb 14, 2013

Further study, including primary data collection in regions where extraction is occurring, will be important to track the magnitude of emissions and to insure that the DEP's permit requirements are adequate to protect human health and the environment, writes Aimee Curtright.

Commentary

The Super Bowl Halftime Show Should Not Be Promoting a Public Health Threat — Feb 1, 2013

People who consume just one or two sugar-sweetened drinks a day have a 26 percent greater risk of developing type 2 diabetes than people who rarely drink these beverages, write Kristin Van Busum and Lauren Hunter.

Journal Article

Sleep Budgets in a Globalizing World: Biocultural Interactions Influence Sleep Sufficiency Among Egyptian Families — Feb 1, 2013

Declines in self-reported sleep quotas with globalizing lifestyle changes have focused attention on their possible role in rising global health problems such as obesity or depression.

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